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Microneedling Beware, this is how it can damage your skin

Microneedling: Beware, It Can Seriously Mess With Your Skin

Primum Non Nocere. First, do no Harm.
It is the first rule of medicine; should we not extend this to skincare, too?

If you’re not immersed in the sometimes-bizarre world of beauty trends.

The practice of microneedling – may sound strange.

The treatment comes under many guises; dermarolling, derma stamping with PRF or PRP, and Morpheus 8, which has an exhaustive list of claims of how it can improve your skin.

If that is the case, why are the conditions listed below side effects that many of our readers are experiencing?

  • scars
  • pocking
  • infections
  • tram marks
  • accelerated ageing
  • erythematous papules
  • skin pigment changes
  • permanent indentations
  • systemic hypersensitivity
  • granulomatous dermatitis
  • possible tumour formation
  • post-inflammatory hyperpigmentation

Please rest assured that scaremongering isn’t our philosophy.

But we can’t ignore the daily emails or 378 messages in the comments below.

Many of our readers have been physically and psychologically scarred due to a poorly performed treatment.

So we put together this article to help raise awareness of the risks associated with microneedling facial treatments.

We’ll examine case studies and look at the complications that may arise.

If you are considering having treatment, you may want to read the article dermarolling, to ensure the best outcome.

Let’s get started!

What is Microneedling?

It is a medical microneedling treatment involving fine, sterile needles that vibrate at high power thousands of times over a few seconds. The needles pierce microscopic ‘holes’ into the superficial layer of your skin.

These small and controlled piercings create channels or micro-wounds that lead to the release of growth factors, which are thought to instigate a healing response in your skin; we beg to differ!

Your body’s response is to encourage the formation of new collagen, elastin, and neovascularisation – the natural appearance of new blood vessels in the dermis.

Healthy Skin Before Microneedling Damage Damaged Skin After Microneedling

In technical terms, it takes advantage of your skin’s response to any inflammatory wound.

For example, if you cut your skin, your body’s first line of defence is to deploy white blood cells; these release chemicals that increase the production of components that comprises your skin’s intercellular matrix.

They tell your body to patch the hole, creating new cells at the site of the wound.

A classical wound may be defined as a disruption of tissue integrity; any wounds, whether caused by injury or remodelling, rely on the biological phases of healing: inflammation, proliferation, and remodelling.

The Misconceptions

They Say: Microneedling is a collagen-stimulating treatment that uses needles to injure your skin; this stimulates collagen and elastin production, improving skin texture, pores, and fine lines. (1)

Naked Chemist Truth: Microneedling tears through the epidermis – your outer layer of skin and creates tiny puncture marks that play havoc with your skin’s natural defence mechanisms, which must work harder to repair the tiny micro-tears through collagen induction, which causes a whole host of skin conditions.

It does not tighten your skin; it swells it: We believe the concept that “needling promotes skin collagen” is wrong. When you break down your skin’s protective barrier function with needles, you are causing trauma and temporarily injuring your skin. That tightening effect you are experiencing is plump, swollen skin.

It does not create a glowing complexion: The ‘lit-from-within’ glow is, infact, inflammation, which we believe is the source of premature ageing; it is a big NO in our book.

This is a Painful Procedure

Even a 0.2mm puncture can cause inflammatory responses that lead to problems at any depth. Not only that, but you are effectively injecting active serums at a depth where serums are not meant to go!

Bottom line: If your skin is impaired, red, dry, inflamed, or you have acne inflammation, it requires a super-healthy skin response, and if it is stressed at all, you are almost certainly at risk of damage. (2)


Clemmy from London wrote: “Help, my skin looks worse after microneedling. The treatment felt like it shredded my skin beneath the surface, my once-perfect skin is ruined, and I feel like I could cry; it has lost all firmness and support. I know it has been structurally damaged, and I looked grazed all over. I don;t want to leave the house and after 6 months, it is still not healing. I had no idea about the risks of microneedling.”

Nancy from Australia wrote: “The day after having morpheus8, my face became swollen, and there were scratch-like marks, I was shaking during the procedure! I should have known something was wrong then, and I had bruising. I was told to do a course of peels to eliminate the lines, which sent my skin into inflammation mode. Today my skin has tiny holes and lines in it. With your team’s help and your incredible products, it has been slowly repairing, but it has been a lot.”

Angela, a client, experienced the following: “I am 43, and the dmicro needling treatment has left my face inflamed; as a result, I am battling severe facial burning. My once smooth skin is sensitive, and my pores are enlarged. I have been to a few dermatologists who have no idea what to do. Your advice is helping to rebuild my skin. I can’t thank you enough. I wish I had known about these microneedling side effects earlier.”

Marian from the USA wrote: “Micro rolling has destroyed my skin. It has left bumps and holes in my face and requires total resurfacing, which I am scared to do. It has dried out my skin and created strange horizontal lines I did not previously have; in short, microneedling at home is UNSAFE. Do not attempt it.”

Jen from Australia wrote: “After having 25 pages of blood tests, my dermatologist was very thorough, it been found that my condition is due to having a course of microneedling with PRP, treatments. I am devastated; my dermatologist believes I have solid facial oedema, which is very rare. I am now on Roaccutane & may need to be on it for 1-2 years; although my skin is responding, this will be a long battle to get rid of it. I’m completely shattered. I would NEVER recommend micro-needling to anyone. I warn all my friends about the micro needling risks so they never suffer like I am. Your Bio lipid has been a lifesaver I refer to it as liquid gold.”

Those of you who openly shared your skin journey, thank you, and we hope we can help rebuild the health of your skin together.

If you are unfortunate enough to have suffered a severe reaction, below we look at what can go wrong.

Whilst we appreciate not everyone has poor results, but chances are, if you are reading this article, you have had a poor outcome. This study (3) looked at people who suffered facial allergic granulomatous reactions and hypersensitivity associated with microneedling treatment.

Side effects of the treatment

My skin is inflamed. I now have developed rosacea.

Chronic inflammation is highly damaging. By its very design, micro needling creates a measured degree of inflammation, depending on the depth of the needles, which is a normal, physiological response to the trauma.

Most mild allergic or inflammatory responses will go away after a week; if it persists, it could be because your immune system is trying to block a substance that it perceives as a foreign body that it can’t eliminate. This could be due to chemicals, organic and inorganic materials or bacterial infection.

The appearance of redness and swelling may not be visible to the naked eye at first, which can be misleading; however, inflammation, if your skin is painful to touch, it could be taking its toll on the structural cells and matrix proteins within the dermis, the deeper layers of your skin.

It may also signify something more insidious and pathological – such as rosacea or granulomatous dermatoses, which become apparent as the underlying infection or localised lesions inflame and distort tissues; this can take weeks or even months to develop.

Because it resembles skin changes associated with accelerated skin ageing, it’s referred to in the industry as “skin flamm’ageing”.

Furthermore, any plumping sensation that may occur is an illusion; this is merely your body creating inflammation, causing the area to swell. When inflammation occurs, cells break down collagen, further accelerating the ageing process.

My skin looks prematurely aged, and wrinkles and lines are appearing

When needles penetrate the dermis – the deeper layer of your skin, this creates an inflammatory response that boosts fibronectin production.

This glycoprotein creates a type of ‘scaffolding’ onto which the newly inducted collagen is deposited; over time, this collagen undergoes a conversion process where it naturally tightens up, which reduces wrinkles and helps resurface scars that may be present on your skin.

When you puncture your skin with needles, you rip at the collagen fibres, causing mechanical damage and desensitising the receptors responsible for signalling collagen synthesis; this is evident when clients say the first treatment was successful, but the subsequent treatments had the opposite effect.

The constant destruction of collagen through needling forces your body to produce new collagen fibres to replace it; over time, this natural ability becomes depleted, thus accelerating the ageing process.

It is important to note that when you are microneedling, it creates a stress response. When your body is exposed to this stressor – it quickly tries to replace the collagen that has been lost.

Whilst this may give the appearance of plump skin, the reality is that any underlying damage done to the internal scaffolding which can show immediately or take years to manifest. But the damage is done – lines and wrinkles, hollow areas and sagging skin – all become increasingly apparent,

Cell death and telomere destruction

It’s worth noting that when you puncture your cells with needles, you damage the integrity of a healthy cell, causing cell death and, thus, accelerating the ageing process.

Cellular turnover occurs when skin cells are replaced by another live skin cell via cellular division. When this happens, the end of the chromosome within the cell’s nucleus is cut off; this is referred to as a telomere; once 60 divisions have taken place, the telomere completely cuts off, and ageing starts.

Micro needling accelerates the rate at which cell division occurs in your skin; the faster it happens, the more your skin ages, leading to sagging and expression lines.

My skin Becomes Inflamed When I Apply Products

Microneedling dramatically disrupts your skin’s impermeable barrier function, consisting of multiple layers of ‘dead’, keratinised cells to protect your deeper, living cells.

The needles pierce through these layers, creating thousands of channels that enable topically-applied substances to penetrate.

The flip side is that until these channels form effective plugs and initiate the healing process, your skin is left open and vulnerable to anything it may come into contact with

Many risks associated with this treatment are often unrelated to the actual needling procedure. They can be due to the topical solutions applied to the skin during maximal barrier function disruption.

Substances that are part of one’s normal physiology and found naturally within your skin are safe; substances that are not should be avoided. This is why we only recommend “skin-identical hyaluronic acid” when you are in the healing stage.

We created an entire article on needling ingredients into your skin that is a valuable read.

My skin was dry but is now oily and has an orange peel texture.

When you microneedle your skin, you create hundreds to thousands of puncture holes in your skin and although not visible to the naked eye, these holes are large enough to create pathways to the bloodstream.

Your skin sees this as trauma, and your sebaceous glands go into overdrive, causing your skin to become excessively oily.

Bacteria can get trapped in your pores, causing breakouts, and your skin takes on an uneven orange peel texture, almost like cellulite. These textural changes are usually due to low-grade inflammation caused by the needling.

Other issues include raised milia-like bumps, blackheads and extended pores.

I have horizontal track marks on my skin

We are often asked if this is a normal side effect; heres the long answer:

If your aesthetician was gentle and thorough and know how to hold, position, and vary the penetration depth to prevent any damage. Then these marks are just reflective of the pattern they were using to get uniform coverage ain different areas of your skin and should fade within a few days.

Complications can arise due to “operator error” of the hand-held device, where to much pressure was applied over the bony areas this can lead to bruising and tram-track scarring.

Interestingly one research carried out by Yadav and Dogra also attributes this finding to nickel-contact dermatitis (4).

The possibility of cross-contamination is genuine during this treatment, and if a microneedle or derma roller is used, the handpiece has the potential for backflow; that’s why hygienic practices are essential to minimise the risk of contamination.

I have dark patches and uneven skin tone

For any one who has a darker skin type, type 3 or higher they can be at significant risk and should avoid this treatment, because there is risk of hyperpigmentation.

Those with a darker skin type also have a propensity for hyperpigmentation in response to inflammation.

Trauma to your skin can cause melanin – the pigment in your skin that causes colour changes – to rush to the injury site.

Inexperienced practitioners won’t know to assess their client’s skin on the Fitzpatrick scale, which can result in pigmentation changes.

Can needling trigger tumour formation?

The old school of thought was that old skin wounds were benign. New research has found that skin wounds can cause basal cell carcinoma (5).

Basal cell carcinoma is the most common type of skin cancer, and its origins start in the basal cell layer, the lower part of the epidermis, and the cells of hair follicles. The formation of tumours occurs when errors in the follicular cells’ DNA cause unregulated cellular division, leading to tumorous growth.

It is understood that a wide range of wound-type injuries, even minor wounds like paper cuts, can activate cancer-provoking genes in your skin as it heals.

Reiter & Wong hypothesised that skin wounds might promote basal cell carcinoma (6). Their research demonstrates how stem cells in hair follicles can transform into cancerous cells while healing an injury.

Reiter and wong state that scientists believe cancers are wounds gone awry. Usually, the hair follicle represses the tumour-generating potential of the stem cells, he says, but when these cells become unstable, trouble begins.

The findings are important; Reiter & Wong found that the development of basal cell carcinomas is not exclusive to large wounds: even minor incisions could induce carcinomas – such as those created by micro-needling.

Micro-needling causes tiny wounds in your skin, which mobilises cells from the hair follicles to heal injuries; by mobilising these cells into the epidermis, your outer layer of skin can produce tumours.

How do I care for my damaged skin?

We get asked a lot: will my skin ever return to normal?

Fortunately, there is hope; you can heal your skin damaged by microneedling, but how long it takes will depend on the damage and how your unique skin responds, but there is hope.

Some heal in 6 to 12 weeks, in line with cellular turnover. For others, it can take longer, but it is achievable with the correct treatment protocol and effective ingredients.

Keeping it pure and simple is our mantra when treating your skin after a damaging micro-needling session; implement a consistent skincare regime with gentle topicals that are barrier repairing.

You want to keep inflammation out of your skin, so avoid using actives like Vitamin C and Vitamin A until your barrier function repairs, and your skin begins to heal.

Granulomatous reactions in response to the unauthorised use of topical products that are not approved for intradermal injection have been reported in three patientsundergoing microneedling treatment (7).

To Conclude. The naked truth

It’s true for some people micro-needling is succesful.

However, we can;t ignore the number of people experiencing complications including  premature ageing, sagging skin, and changes in skin texture and conditions; for instance, someone with once dry skin may now be experiencing oily skin, enlarged pores, and even breakouts,

You may also experience more severe side effects such as horizontal tract marks, permanent scarring and indentations or hyper and hypo-pigmentary changes in your skin.

Infections, such as granulomatous infections don’t always look like you think they can appear more subtle at first; your skin might stay irritated and like it’s not healing, this is because your body’s immune system is holding the offending bacteria, a pathogen, in partial check but isn’t strong enough to eliminate it – so inflammation maybe bubble away under the skin’s surface.

The bottom line. Be careful with how you treat your skin; get a second or third opinion and do your reasearch well.

You are responsible for caring for the primary organ that protects you every second of your life.

380 thoughts on “Microneedling Beware, this is how it can damage your skin

  1. Holly says:

    I have a couple of questions my first question, is nano needling the same as micro needling? Does it cause the same damage? I recently had a biorepeel done 8/10/22 to be exact (in a plastic surgeons office) on my hands 50%, neck and face 35% using nano needling. I wasn’t keen on needling my neck or face just the hands . The esthetician insisted that this was the way she did so I stupidly buckled and let her do it. I instantly noticed how awful my hands looked. They were crepey before but now they look like they belong on a different person. I wish I never did it!!! My neck had crepeyness too but now it’s so much worse. And my face omg I see new deeper lines than before. I am also in desperate need of a facial fat transfer for deflated looking under eyes and volume loss. This put me back in a dark place. It’s destroyed my self esteem even more than before and that’s saying a lot. I’m only 42 🙁 I feel hopeless

  2. Vio says:

    hallo Samantha

    ich bin auf eure seite gestoßen und vielleicht könnt ihr mir helfen. Ich habe vor zwei Jahren einen CO2-Laser gemacht und habe Nebenwirkungen. Vorher war mein Gesicht glatt und jetzt habe ich viele winzige Löcher und gleichzeitig trockene und ständig fettende haut. ich vertrage viele produkte nicht. mein gesicht schwillt oft an. ich würde gerne wissen was es sein kann? ich möchte einfach produkte haben die zu mir passen und meine fettige trockene haut verbessern. oft schuppt sie. hatte sie mal einen kunden der auch sowas hatte und konnte sie ihm etwas empfehlen? Ich wäre ihnen so dankbar, wenn sie sich Zeit nehmen würden und mir helfen würden.

    liebe grüße Vio

    • Vio says:

      Hello Samantha

      I came across your site and maybe you can help me. I did a CO2 laser two years ago and I have side effects. Before my face was smooth and now I have many tiny holes and at the same time dry and constantly oily skin. I can’t tolerate many products. my face often swells up. I would like to know what it can be? I just want products that suit me and improve my oily, dry skin. she often flakes. Did you ever have a customer who also had something like this and could you recommend something to him? I would be so grateful if you would take your time and help me.

      kind regards Vjo

  3. Samantha Miller says:

    Thank you, Jessica. You certainly have been on quite the journey and were so glad that the products and advice are helping you return your skin back to health, perseverance is key and it is paying off for you. good luck.

  4. Michelle Grenier says:

    Samantha, thank you for this insightful article and eye-opening perspective. I was just about to book a series of microneedling sessions but this gave me pause. Question: does PRP and/or growth factor treatment change anything about the dangers of inflammation and skin barrier disruption? I have been excited to try PRP and growth factors but it seems like they require microneedling to penetrate. Any thoughts on this?

    • Samantha Miller says:

      Hi Michelle

      A lot of the problems readers approach us with are after PRP and growth factor treatment, quite why we are not sure. My question to you is, why disrupt your barrier function further?Why not opt for a more natural healing approach. Try red light therapy (in the salon) it’s one of the few treatments I recommend that is non-invasive. I hope this helps


  5. Kai says:

    Hi! I had micro-needling done last year. Initially, my face looked and felt amazing for about 4 months. I had freckles all over my face prior to microneedling, but after that procedure, they were so faint..almost completely gone. This was at a dermatologist office, so I really trusted them with my face. Fast forward, a year later, and I’m looking back on pictures before I did any microneedling…I want to cry. What have I done! My skin texture/pore size/acne and pigmentation was healthy! It was sooooo much more youthful looking then! *ONLY A YEAR AGO!* They recommended me to start trentinoin.05% but I’m scared it will continue to thin my already sensitive skin. I’m 28 years old, I have never struggled with skin texture or pore size until now. Do you know if the permanent makeup procedure called lip blushing has a similar effect to the lips? I was thinking of having that procedure done… but after reading this article I’m hesitating! I had microblading done and have noticed my hair won’t grow back on my eyebrows the was it did before. This is all making sense now. Wish I left myself alone. I already struggle with dermatitis and excoriation disorder. Thank you for this information. Im so glad I found this page!

    • Samantha Miller says:

      Hi Kai
      So sorry to hear about your results, from the many comments here you can no doubt see you are not alone. Being prescribed tretinoin is unusual to treat skin after micro needling, and if your skin is already fragile, you are right in thinking it could thin it further. If you would like us to consult please do reach out to

  6. Kailey says:

    Hi! I had micro-needling done last year and initially my face looked and felt amazing for about 4 months. I’m had freckles all over my face prior to microneedling, but after that procedure, they were so faint..almost completely gone. This was at a dermatologist office so I really trusted them with my face. Fast forward a year later and I’m looking back on pictures before I did any microneedling and my skin texture/pore size/acne and pigmentation was sooooo much more youthful looking then! ONLY A YEAR AGO! They recommended me to start trentinoin.05% but I’m scared it will continue to think my skin. I’m 28 years old and have never struggled with skin texture or pore size until now. Do you know if lip blushing has a similar effect to the lips? I was thinking of having that procedure done… but after reading this article I’m hesitating! Thank you for this information. Im so glad I found this page!

  7. Valerie descar says:

    After microbleeding 3 days ago my neck is hanging down under my chin like a turkey! Much worse than I had beforehand…I am told it will get better. Help!

  8. Mary K says:

    I really wish I would have seen you article before microneedling!! I just had it done on Tuesday evening and had horrible side effects!!

    • Samantha Miller says:

      Hi, Mary really sorry this has happened to you, we really wish there was more awareness around this treatment also! Some of the poor side effects are just very disturbing. If you do have any questions please do contact us directly.

  9. Tal says:

    I had micro needling done a month ago with a Skinpen at 0.25 depth around the eye area. I Used the Skinfuse lift Hg hyalauronic acid hydrogel from Bellus Medical, that was given to me by my provider. I started incorporating Cerave Healing Ointment and Vanicream Moisturizer on the 2nd and 3rd day, as my provider instructed. On the fourth day, I woke up to skin that looked like all the moisture had been sucked out of it, quite like a raisin. I noticed tram track marks and new little holes everywhere. Since then, the skin around my eyes has been very crepey looking. The tram tracks are starting to look a little better, but the crinkly skin remains. I’ve been using the Skinfuse Hydrogel, Skinbetter Trio rebalancing moisture treatment or Eucerin Advanced Repair, and cerave healing ointment. I honestly sometimes even use lard or tallow, which has been absolutely incredible in healing my dehydrated skin in the past. My skin is at a point where it doesn’t feel sensitive at all, it just looks like a crinkly mess, almost like there’s a layer of Saran Wrap on top. Both a different esthetician and a cosmetic dermatologist have suggested dermaplaning or a diamond glow facial to help shed the excess dead skin build up so that the hydrating ingredients can better penetrate the skin. They both said they can see dead skin build up, or “skin flakes” that aren’t shedding.

    As I’ve mentioned, I’ve actually had experience with really dehydrated skin before, where it had been burning and stinging, and I was able to get it to a point where it didn’t hurt anymore by using barrier repairing ingredients (ceramides, cholesterol, and fatty acids) But the crepey texture didn’t get better until I had a microdermabrasion facial and started using lard. Seriously. After the facial, it immediately started getting better, and then the addition of lard a few weeks later made everything heal in a matter of days. I also noticed the tram track markings I have now from micro needling started getting better after I added lard back into the mix. But my skin is still so crinkly. I’m worried there’s been too much damage done for it to heal properly.

    With that being said, I have two questions for you.

    1. What do you think of the recommended treatments? (Dermaplaning and diamond glow facial) especially at one month out? My skin barrier doesn’t feel damaged, just looks crinkly and crepey. Not sure if these are wise solutions or if I need to wait to do them?

    2. Have you been able to help anyone with crepey skin from micro needling restore their skin texture?

    I’m only 30, and had really smooth, plump skin before. The rest of my face still looks nice, but the eye area looks 10 years older. This has been really distressing, especially reading other people’s stories, but what I’m really looking for is some hope. I’d really like to know if you’ve had success restoring crinkly, crepey skin after micro needling.

    Thank you for taking the time to read this.

    • Samantha Miller says:

      Hi so sorry you are exeriencing this with your skin, these symptoms are sadly not uncommon….. moisture had been sucked out of it, tram track marks and small holes and thinning skin around the eyes We really would not recommend further topical treatment that is invasive that will damage your barrier function. Instead, your skin requires a careful measured gentle approach to your skincare routine, that will gently exfoliate, heal, calm and soothe. If you require a recommendation please reach out to me personally with pictures at

  10. Laura says:

    Since microneedling and prp treatment i have developed roscea with acne like pimples all over my face and neck. The dermatologist insists it is from topical products but it seems like all cleansers moisturiser and sunscreen are causing these flare ups which then last for a week. Is it possible that microneedling can cause roseca even if you have never had it before? It is really affecting my quality of life and self esteem and cannot seem to find anyone that has experience with this

  11. kunjan says:

    I did my micro-needling session for my acne scars as the doctor recommended it and the first session gave tremendous results my acne reduced my skin felt and looked smooth but the scares were not completely gone so the doctor recommended another session and I gladly did It but this time a deeper needle was used. After that day I am living a nightmare
    I got infection after the session my whole face was covered in inflamed bumps and rash and I even got eczema around my eyes which I never had until after the session . The doctor prescribed antibiotics and other medication and after a month the inflation slowly decreased But my skin is messed up it’s so textured. And when i consult my doctor, he says it’s purging and that is taking time to heal but it’s been almost 2 months of the treatment but it still won’t go. I’m still on antibiotics, the rashes have died down but left behind texture and still itches now and than.
    So, I don’t want to recommend this treatment.
    Now, All I am doing and can do I wait until my skin barriers heals itself which is devastating and depressing.

  12. Andrew says:

    Hi there, had an aggressive microneedling treatment done almost 4 months ago. Very painful, caused bruising, and took a while for the trauma to heal up. Four days after the treatment, the redness died down enough for me to be able to inspect my skin a little closer. I was disturbed by the all the holes all over my face that “connect” when my face moves, creating fine lines. There’s been no improvement. Went to a derm and she told me the “holes” are enlarged pores and that I should try Accutane (currently on low dose, about 2.5 months in, no noticeable effect yet). In your experience, are the “holes” people experience after microneedling just enlarged pores as my derm said, or are they puncture scars from the device? It would seem that a few days post treatment would be very soon for scarring to form, but wanted your take on this. Your help is appreciated! Life just hasn’t been the same since this “treatment”.

    • Samantha Miller says:

      Hi, Andrew very very sorry to hear about your skin, its hard to say we have seen a mixture of both, if the skin is already fragile then it appears that the treatment can cause holes in the skin, equally it can also enlarge pores so its a double edged sword I am afraid to say.

  13. Anna says:

    I‘m shocked to read all the negative comments and I feel sorry for everyone who had a bad experience. But in my case, I‘ve only had positive effects from microneedling. I‘ve had 2 professional sessions done by a medical beautician (2 years apart from each other) and some sessions by myself at home. It has had a minor but positive effect on my acne scarring on the forehead & gives me an overall healthy glow (not only while being swollen, but afterwards). I think that the negative experiences could stem from working with a inexperienced practitioner/aggressively & wrong done procedure/wrong skin type/procedure being done too often. There‘re many studies which prove a positive effect if done correctly. No cosmetic procedure is completely safe and something for everyone. It’s the same with medication – some might experience side effect and some don’t. I respect that you’re educating about possible risks though! People should be heard & hope everyone recovers from whatever damage they were caused.

    • Samantha Miller says:

      Hi Anna. Thank you for your feedback. As you can see negative outweighs the positive and quite why people have these reactions we are not sure. Infection, wrong product recommendations, underlying conditions, genetics and poor treatment protocol we believe are the reasons why so many have a bad experience. And with more treatments being offered with few regulations at this stage, we believe things will get worse until microneedling is regulated.

      • Brent says:

        The negative outweighs the positive in this particular thread due to the nature of the original article. Keep it in perspective and unbiased, please.

        • Samantha Miller says:

          Hi Brent I am not sure what you mean. We are going on what we see first-hand and the comments..can you point us in the direction of the positive. Because I could send you picture after picture after email after email, from terrible reactions to this treatment, that really is destroying people’s lives!

          • Kam says:

            I had a single microneedling treatment performed by a registered nurse 13 months ago. It ruined my life for a time; though I’m trying to claw my way back to joy and normalcy. I have a PhD in English and am working on the manuscript of a book to bring awareness to this issue because I believe it is *so* important. I’m grateful that this article exists, and I wish SO MUCH that I’d found it before my injurious MN treatment. Thank you, Samantha!!!

    • daniellap says:

      Hi Anna,
      I’ve had nothing but positive experiences with microneedling until recently. I had one session done with a different provider who had great reviews. I have mild rosacea which was disclosed in the paperwork and suffered a bad reaction- now have permanent red and irritated patches on both cheeks which were not there before. I have tried to contact the provider for a solution- purchased skin care upon recommendation to assist with healing. Basically, everything I now put on my face further aggravates the skin and they just dismiss my concerns and not willing to negotiate. Also very pricey compared to other clinic I previously had it done. Will be keeping away from these treatments in the future.

      • Samantha Miller says:

        Hi Anne. So very sorry to hear about your experience it’s not uncommon. The clinic really should be at the very least offering you some red light therapy to help heal your skin. We recommend going back to the clinic.

        • daniellap says:

          Hi Samantha,
          The clinic I went to recommended I use their sunscreen daily and recovery cream, which contains actives every second night for the next 3 weeks. As these products cause further skininflammation, I have been using samples of La Roche Posay Soothing Repairing Balm and intense dermalogical moisturiser from my local priceline until my products arrive.

          • Samantha Miller says:

            It’s just a lack of correct training and awareness for a lot of salons, you really do have to become your own label detective. Sunscreen is always a good idea however minus actives and not a high SPF which can irritate an already sensitised skin.

        • daniellap says:

          Hi Samantha,

          The red light therapy definitely helps reduce inflammation. I have previously combined this with microneedling in the past, however I will be much more vigilant when seeking beauty treatments. Thanks for sharing helpful advice and articles on your website.


          • Samantha Miller says:

            Hi Daniella thank you for reaching out, really pleased you enjoyed the articles. As you can see from all the comments this treatment really needs to be carefully regulated but it isn’t at this stage, so if we can do our bit to bring awareness to the downside of this treatment then we have done our bit in a bid to help people with their skin health. Red light therapy is the only treatment we would recommend to heal the skin after micro needling to reduce inflammation. less is really best.

          • S.f says:

            I had my third needling treatment very aggressively (unbeknown to me but I knew something was not right). Like many others here, I have micro holes, linear indentation and track marks. It’s post one year since May 2021. I have been prescribed a weak strength of tretinoin (0.0125%) but I can only use this once a week as my skin can’t tolerate it. Two questions: 1. Has anyones skin reversed to their normal skin that you know off ie the holes and track marks have gone?
            2) Does red light therapy work for the micro holes and tram marks? Also is it safe for a darker skin type? Thank you.

    • Kay says:

      thanks Anna, I also have positive (albeit minor) effects from microneedling. I have scars on my forehead and temples, do you know how deep you/the professionals go in that area?

  14. Kaitlyn says:

    This makes so much sense! As someone healing from acne scarring, steering away from microneedling … what are thoughts on chemical peels and lasers? Please help.

    • Samantha Miller says:

      Hi Kaitlyn

      Our philosophy is why break down the protective barrier function and upset the delicate microflora of the acid mantle in order to treat your skin its counter-intuitive? Why not work to maintain this with sensible well thought out products that will help to treat skin conditions and ward of ageing. Remember a lot of ageing concerns are caused by inflammation..I hope this makes sense and helps Samantha

    • Carl says:

      I would recommend Cosmelan peel. I had general aging, sun spots, textured skin from old acne. Cosmelan results were like something I never thought possible. My skin went from 35 to 18 in a week. It’s a deep peel and it isn’t cheap, you’d be lucky to find it for 800, but from my experience and what I hear from others, you will get results that leave you stunned. To say your skin is glowing afterwards is an understatement. I’m just a patient who had good results. I’ve used it several times since.. They market this peel as specifically targeting melasma, which it does, but it works wonders regardlsss

      • Samantha Miller says:

        Hi, Carl Thank you for this feedback and so glad you had results from this peel. We would personally warn against this for Kaitlyn att his time,if her skin is already experiencing an impaired barrier and thinning however, it could make matters worse until its healed.

    • Carl says:

      I should clarify that Cosmelan is one of the deepest and most invasive chemical peels, but it’s actually hard to screw up if you follow a couple simple instructions. You leave it on for 6-8 hours, so there’s plenty of wiggle room. Also most practitioners who sell it require it to be done in office, they won’t just sell it and let you do it at home.

  15. Suzy says:

    I developed papulopustular rosacea this year which I strongly believe is linked to microneedling I had at the beginning of this year. I have been put on solantra (horrible reaction to it), low dose antibiotics, and now retin-a as nothing before seemed to work. You write here to avoid any active ingredients and that anything that inflames the skin can cause it to age prematurely. Does that mean I should stop my retinoic acid treatment? From what I read it has inflammatory component to it and it definitely is a strong active substance. Will it actually make my skin age and worsen my condition with time? I am not trusting dermatologists much these days as my first microneedling treatment was done by a dermatologist and many derm salons perform this treatment routinely. I think they should be more honest about this procedure being absolutely horrible for your skin.

    • Samantha Miller says:

      Hi, Suzy really sorry to hear about your skin. Microneedling can cause inflammation and a whole host of side effects, but it is a double-edged sword if your getting a good reaction from it don’t stop taking it then. It’s hard to find a good dermatologist don’t just settle for second best.

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